Tülin ERTAN, Güneş ŞAHİNKESEN, Yaşar Meriç TUNCA

Kök kanal tedavisi sonunda duyulan ağrının değerlendirilmesi

Amaç: Kök kanal tedavisinin başarısında postoperatif ağrının varlığı ve kontrolü oldukça önemlidir. Bu çalışmada, endodontik tedavi sırasında ve sonrasında oluşabilecek postoperatif ağrı sıklığı ve yoğunluğunu etkileyen faktörler araştırıldı. Gereç ve Yöntem: Çalışmaya 128 hasta dahil edildi. Dişler tiplerine, lokalizasyonlarına ve vitalitelerine göre gruplandırıldı. Kanallar Hero-shaper ile crown-down yöntemiyle genişletildi ve lateral kondanzasyon tekniği ile dolduruldu. Hastaların postoperatif 12. saat ve 1., 3., 7. ve 15. günlerde Visual Analogue Scale (VAS) skorları alınıp kaydedildi ve istatistiksel olarak değerlendirildi. Bulgular: Tedavi sonrası duyulan postoperatif ağrı skorlarında, tüm zamanlarda, devital dişlerde vital dişlere göre istatistiksel olarak anlamlı bir yükseklik vardı. VAS ağrı skoru, tedavi başlangıcında anterior ve molar dişler arasında (p=0.012), tedaviden 3, 7 ve 15 gün sonra ise premolar ve molar dişler arasında istatistiksel olarak anlamlı farklılık gösteriyordu (sırasıyla p=0.002, p=0.006, p=0.048). Diş lokalizasyonlarına göre ise postoperatif 3., 7. ve 15. günlerde VAS skorları dişi mandibulada yer alanlarda daha yüksek bulundu (sırasıyla p=0.014, p=0.036, p=0.023). Sonuç: Postoperatif ağrı değerlendirmelerinde diş tipi, lokalizasyonu ve vitalitesinin önemli olduğu sonucuna varıldı. Ayrıca tedavi yaklaşımları esnasında etkili olan faktörlerin bir bütün olarak değerlendirilmesi hasta memnuniyeti, iş yükü ve maaliyetler üzerine olumlu katkılar sağlayacaktır.

Evaluation of postoperative pain in root canal treatment

Objectives: The control of postoperative pain is very important for the success of root canal treatment. The aim of this study was to research the factors that affect pain periods and pain intensity during and after endodontic treatment. Methods: The study included 128 patients. The teeth were grouped according to their type, location and vitality. Root canals were prepared by Hero-shaper and crown-down methods, and filled by lateral condensation. The postoperative 12th hour and postoperative 1st, 3rd, 7th and 15th day Visual Analog Scales (VAS) scores of the patients were recorded and analyzed by statistical methods. Results: After treatment, the postoperative pain scores were statistically higher in devital than vital teeth. VAS pain score demonstrated statistical differences at the beginning of the treatment between anterior and molar teeth (p=0.012) and also at 3, 7 and 15 days after treatment between premolar and molar teeth (p=0.002, p=0.006, p=0.048, respectively). According to the localization of teeth, on the 3rd, 7th and 15th postoperative days, VAS scores were the highest in the mandibular teeth (p=0.014, p=0.036, p=0.023). Conclusion: In postoperative pain evaluation, type, localization and vitality of teeth were determined as important. In addition, analysis of the factors that affect treatment as a whole will positively impact the issues of patient satisfaction, workload and cost.

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